中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2014年
6期
3720-3721
,共2页
镇痛%吗啡%硬膜外%剖宫产%泌乳素
鎮痛%嗎啡%硬膜外%剖宮產%泌乳素
진통%마배%경막외%부궁산%비유소
Analgesic%Morphine%Epidural%Cesarean section%Prolactin
目的：观察剖宫产、硬膜外吗啡术后镇痛产妇的泌乳状况及血清泌乳素（PRL）变化。方法：足月产妇240例均分为四组：Ⅰ组术毕行硬膜外吗啡镇痛；Ⅱ组术毕行硬膜外吗啡镇痛，24h后追加一次；Ⅲ组未行术后镇痛；阴道自然分娩60例为Ⅳ组。240例产妇产前、产后均进行护理干预、科学宣传，实行母婴同室和纯母乳喂养。结果：产后5min、24h及48h内开始泌乳及72h泌乳分泌不足发生率与剖宫产组相比无差异。结论：由于护理干预，剖宫产及硬膜外吗啡术后镇痛不影响产妇母乳喂养的成功率。
目的：觀察剖宮產、硬膜外嗎啡術後鎮痛產婦的泌乳狀況及血清泌乳素（PRL）變化。方法：足月產婦240例均分為四組：Ⅰ組術畢行硬膜外嗎啡鎮痛；Ⅱ組術畢行硬膜外嗎啡鎮痛，24h後追加一次；Ⅲ組未行術後鎮痛；陰道自然分娩60例為Ⅳ組。240例產婦產前、產後均進行護理榦預、科學宣傳，實行母嬰同室和純母乳餵養。結果：產後5min、24h及48h內開始泌乳及72h泌乳分泌不足髮生率與剖宮產組相比無差異。結論：由于護理榦預，剖宮產及硬膜外嗎啡術後鎮痛不影響產婦母乳餵養的成功率。
목적：관찰부궁산、경막외마배술후진통산부적비유상황급혈청비유소（PRL）변화。방법：족월산부240례균분위사조：Ⅰ조술필행경막외마배진통；Ⅱ조술필행경막외마배진통，24h후추가일차；Ⅲ조미행술후진통；음도자연분면60례위Ⅳ조。240례산부산전、산후균진행호리간예、과학선전，실행모영동실화순모유위양。결과：산후5min、24h급48h내개시비유급72h비유분비불족발생솔여부궁산조상비무차이。결론：유우호리간예，부궁산급경막외마배술후진통불영향산부모유위양적성공솔。
objective:To observe the cesarean section, epidural morphine postoperative analgesia maternity lactation status and serum prolactin (PRL) change.Methods:The240 cases of maternal term are divided into four groups:Ⅰ group operation BiHang epidural morphine analgesia;Ⅱ group operation BiHang epidural morphine analgesia, 24 h after additional one time.Ⅲ group do not postoperative analgesia; Vaginal natural childbirth sixty cases ofⅣ group. 240 cases were performed antenatal, postpartum nursing intervention, scientific propaganda, the maternal and child inmates and pure breastfeeding.Results:Postpartum 5 min, 24 h and h and start within lactation and 72 h lactation hyposecretion incidence and cesarean section group compared with indifference.Conclusion:Due to the nursing intervention, and cesarean section and epidural morphine postoperative analgesia does not affect maternal breastfeeding success rate.
